Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Lynne Fredrickson, FNP

Individual provider Family Nurse Practitioner · NPI 1659008670

Samantha Lynne Fredrickson, FNP is a Family Nurse Practitioner in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

2100 Goshen Rd
Fort Wayne, IN 46808-1493
Phone: (260) 471-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012743A (IN)

Record details

NPI number1659008670
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

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